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Public Spending On Health Care and Health Outcomes: Cross-Country Comparison

Year 2013, Volume: 2 Issue: 4, 82 - 100, 01.12.2013

Abstract

This study aims to analyze the effect of government spending on healthcare on health outcomes with cross-national comparison. We run crosssectional regressions to estimate the strength of association between child and infant mortality rate and public health expenditures in worldwide sample. We find statistically significant and robust results by various specifications. We found government health spending as a share of GDP is negatively associated with lower level of under-5 mortality by elasticities of from -0.17 to -0.22. The elasticity is -0.20 for infant mortality. When government spending as a share total health expenditures is used as estimator, elasticities are -0.33 for under-5 mortality and -0.23 and -.0.32 for infant mortality. We also found significant and negative coefficient a number of socio-political determinants such as the law and order, education level, population as well as income level as a main determinant. Compared to previous studies, we found the income level to be slightly less significant and the public health spending to be slightly more significant empirically.

References

  • Aiyer, S., Jamison, D.T., Londono, J.L. (1995), Health policy in Latin America: progress, problems, and policy options, Cuadernos de Economia, 32, pp.11–28.
  • Amaghionyeodiwe, L. A. (2009), Government health care spending and the poor: evidence from Nigeria, International Journal of Social Economics, 36(3), pp.220–236
  • Anand, S., Ravallion, M. (1993), “Human development in poor countries: on the role of private incomes and public services”, Journal of Economic Perspectives, 7(1), 133-150.
  • Baltagi, B. H. and Moscone, F. (2010), Health care expenditure and income in the OECD reconsidered: Evidence from panel data, Economic Modeling, 27, pp.804-811
  • Berger, M. C. and Messer, J. (2002), Public financing of health expenditures, insurance, and health outcomes, Applied Economics, 34, pp.2105-2113
  • Bidani, B. and Ravallion, M. (1997), Decomposing social indicators using distributional data, Journal of Econometrics, 77, pp.125-39.
  • Castrol-Leal, F., Dayton, J. and Mehra, K. (1999), Public social spending in Africa: do the poor benefit?, World Bank Research Observer, 14, pp.49-72.
  • Cullis, J.G. and West, P.A. (1979), The Economics of Health: An Introduction, Martin Robertson, Oxford.
  • Deolalikar, A.B. (1995), Government health spending in indonesia: impacts on children in different economic groups, in van de Walle, D. and Nead, K. (Eds), Public Spending and the Poor: Theory and Evidence, John Hopkins University Press, Baltimore, MD.
  • Filmer, D. and Pritchett, L. (1999), The impact of public spending on health: does money matter?, Social Science and Medicine, 49(1), pp.1309–1323.
  • Filmer, D., Hammer, J.S., Pritchett, L. (1998), Health policy in poor countries: Weak links in the chain, World Bank Policy Research Working Paper, No. 1874, World Bank, Washington DC.
  • Gakidou, E. and King, G. (2000), An individual-level approach to health inequality: child survival in 50 countries, Global Programme on Evidence for Health Policy Discussion Paper, No. 18, World Bank Health Organization, Geneva.
  • Gerdtham, U.G. and Jonsson, B. (1991a), Price and quantity in international comparisons of health care Expenditure, Applied Economics, 23, pp.1519-1528
  • Gerdtham, U.G. and Jonsson, B. (1991b), Conversion factor instability in international comparisons of health care expenditure, Journal of Health Economics, 10, pp.227-234
  • Ghobarah, H. A., Huth, P. and Russett, B. (2004), Comparative public health: The political economy of human misery and well-being, International Studies Quarterly, 48, pp.73-94
  • Govindaraj, R., ChellarajG., and Murray, C.J.L. (1997), Health expenditures in Latin America and the Caribbean, Social Science & Medicine, 44(2), pp.157-169
  • Gupta, S., Verhoeven, M., and Tiongson, E. R. (2003), Public Spending on health care and the poor, Health Economics, 12, pp.685-696
  • Gupta, S., Verhoeven, M., and Tiongson, E. R. (2002), The effectiveness of government spending on education and health care in developing and transition economies, European Journal of Political Economy, 18, pp.717-737
  • Gwatkin, D.R. (2000), Health inequalities and the health of the poor: what do we know? What can we do?, Bulletin of the World Health Organization, 78(1), pp. 3-18.
  • Hall, S.G., Swamy, P. A. V. B. and Tavlas, G.S. (2012), Generalized cointegration: a new concept with an application to health expenditure and health outcomes, Empirical Economics, 42, pp.603– 618
  • Hansen, P. and King, A. (1996), The Determinants of health care expenditure: A cointegration approach, Journal of Health Economics, 15, pp.127-137.
  • Hitiris, T. and Posnett, P. (1992), The determinants and effects of health expenditure in developed countries, Journal of Health Economics, 11, pp.173-181
  • Huber, M. and Orosz, E. (2003), Health Expenditure Trends in OECD Countries, 1990-2001, Health Care Financing Review, 25(1), pp.1-22
  • Jamison, D.T., Wang, J., Hill, K., Londono, J-L. (1996), Income, mortality and fertility control in Latin America: Country-level performance 1960-90, Mimeo, LAC Technical Department, The World Bank, Washington, DC.
  • Judge, K., Mulligan, J.A. and Benzeval, M. (1998), Income inequality and population health, Social Science & Medicine, 46, pp.567-579
  • Kahneman D., and Riis J. (2005), Living, and thinking about it: Two perspectives on life, in F.A. Huppert, N. Baylis and B. Keverne (Eds.), The Science of Well-Being, Oxford University Press, Oxford , pp.285-304
  • Kim, K. and Moody, P. M. (1992), More resources better health? A cross-national perspective, Social Science & Medicine, 34(8), pp.837-842
  • LeGrand, J. (1987), Inequalities in health: some international comparisons, European Economic Review, 31, pp.182-191.
  • Leu, R. E. (1986), The public-private mix and international health care costs, in A. J. Cuyler and B. Jonsson(Eds), Public and Private Health Services,Basil-Blackwell, Oxford, pp.41-63.
  • Makinen, M., Waters, H., Rauch, M., Almagambetova, N., Bitran, R., Gilson, L., McIntyre, D., Pannarunothai, S., Prieto, A.L., Ubilla, G. and Ram, S. (2000), Inequalities in health care use and expenditures: empirical data from eight developing countries and countries in transition, Bulletin of the World Health Organization, 78(1), pp.55-65.
  • Matteo, L. D. and Matteo R. D. (1998), Evidence on the Determinants of Canadian Provincial Government Health Expenditures: 1965-1991, Journal of Health Economics, 17, pp.211-228
  • McGuire, A., Parkin, D., Hughes, D., Gerard, K., (1993), Econometric analyses of national health expenditures: can positive economics help answer normative questions?, Health Economics, 2, 113– 126.
  • Milne, R. and Molana, H. (1991), On the effect of income and relative price on demand for health care: EC evidence, Applied Economics, 23, pp.1221-1226 100
Year 2013, Volume: 2 Issue: 4, 82 - 100, 01.12.2013

Abstract

References

  • Aiyer, S., Jamison, D.T., Londono, J.L. (1995), Health policy in Latin America: progress, problems, and policy options, Cuadernos de Economia, 32, pp.11–28.
  • Amaghionyeodiwe, L. A. (2009), Government health care spending and the poor: evidence from Nigeria, International Journal of Social Economics, 36(3), pp.220–236
  • Anand, S., Ravallion, M. (1993), “Human development in poor countries: on the role of private incomes and public services”, Journal of Economic Perspectives, 7(1), 133-150.
  • Baltagi, B. H. and Moscone, F. (2010), Health care expenditure and income in the OECD reconsidered: Evidence from panel data, Economic Modeling, 27, pp.804-811
  • Berger, M. C. and Messer, J. (2002), Public financing of health expenditures, insurance, and health outcomes, Applied Economics, 34, pp.2105-2113
  • Bidani, B. and Ravallion, M. (1997), Decomposing social indicators using distributional data, Journal of Econometrics, 77, pp.125-39.
  • Castrol-Leal, F., Dayton, J. and Mehra, K. (1999), Public social spending in Africa: do the poor benefit?, World Bank Research Observer, 14, pp.49-72.
  • Cullis, J.G. and West, P.A. (1979), The Economics of Health: An Introduction, Martin Robertson, Oxford.
  • Deolalikar, A.B. (1995), Government health spending in indonesia: impacts on children in different economic groups, in van de Walle, D. and Nead, K. (Eds), Public Spending and the Poor: Theory and Evidence, John Hopkins University Press, Baltimore, MD.
  • Filmer, D. and Pritchett, L. (1999), The impact of public spending on health: does money matter?, Social Science and Medicine, 49(1), pp.1309–1323.
  • Filmer, D., Hammer, J.S., Pritchett, L. (1998), Health policy in poor countries: Weak links in the chain, World Bank Policy Research Working Paper, No. 1874, World Bank, Washington DC.
  • Gakidou, E. and King, G. (2000), An individual-level approach to health inequality: child survival in 50 countries, Global Programme on Evidence for Health Policy Discussion Paper, No. 18, World Bank Health Organization, Geneva.
  • Gerdtham, U.G. and Jonsson, B. (1991a), Price and quantity in international comparisons of health care Expenditure, Applied Economics, 23, pp.1519-1528
  • Gerdtham, U.G. and Jonsson, B. (1991b), Conversion factor instability in international comparisons of health care expenditure, Journal of Health Economics, 10, pp.227-234
  • Ghobarah, H. A., Huth, P. and Russett, B. (2004), Comparative public health: The political economy of human misery and well-being, International Studies Quarterly, 48, pp.73-94
  • Govindaraj, R., ChellarajG., and Murray, C.J.L. (1997), Health expenditures in Latin America and the Caribbean, Social Science & Medicine, 44(2), pp.157-169
  • Gupta, S., Verhoeven, M., and Tiongson, E. R. (2003), Public Spending on health care and the poor, Health Economics, 12, pp.685-696
  • Gupta, S., Verhoeven, M., and Tiongson, E. R. (2002), The effectiveness of government spending on education and health care in developing and transition economies, European Journal of Political Economy, 18, pp.717-737
  • Gwatkin, D.R. (2000), Health inequalities and the health of the poor: what do we know? What can we do?, Bulletin of the World Health Organization, 78(1), pp. 3-18.
  • Hall, S.G., Swamy, P. A. V. B. and Tavlas, G.S. (2012), Generalized cointegration: a new concept with an application to health expenditure and health outcomes, Empirical Economics, 42, pp.603– 618
  • Hansen, P. and King, A. (1996), The Determinants of health care expenditure: A cointegration approach, Journal of Health Economics, 15, pp.127-137.
  • Hitiris, T. and Posnett, P. (1992), The determinants and effects of health expenditure in developed countries, Journal of Health Economics, 11, pp.173-181
  • Huber, M. and Orosz, E. (2003), Health Expenditure Trends in OECD Countries, 1990-2001, Health Care Financing Review, 25(1), pp.1-22
  • Jamison, D.T., Wang, J., Hill, K., Londono, J-L. (1996), Income, mortality and fertility control in Latin America: Country-level performance 1960-90, Mimeo, LAC Technical Department, The World Bank, Washington, DC.
  • Judge, K., Mulligan, J.A. and Benzeval, M. (1998), Income inequality and population health, Social Science & Medicine, 46, pp.567-579
  • Kahneman D., and Riis J. (2005), Living, and thinking about it: Two perspectives on life, in F.A. Huppert, N. Baylis and B. Keverne (Eds.), The Science of Well-Being, Oxford University Press, Oxford , pp.285-304
  • Kim, K. and Moody, P. M. (1992), More resources better health? A cross-national perspective, Social Science & Medicine, 34(8), pp.837-842
  • LeGrand, J. (1987), Inequalities in health: some international comparisons, European Economic Review, 31, pp.182-191.
  • Leu, R. E. (1986), The public-private mix and international health care costs, in A. J. Cuyler and B. Jonsson(Eds), Public and Private Health Services,Basil-Blackwell, Oxford, pp.41-63.
  • Makinen, M., Waters, H., Rauch, M., Almagambetova, N., Bitran, R., Gilson, L., McIntyre, D., Pannarunothai, S., Prieto, A.L., Ubilla, G. and Ram, S. (2000), Inequalities in health care use and expenditures: empirical data from eight developing countries and countries in transition, Bulletin of the World Health Organization, 78(1), pp.55-65.
  • Matteo, L. D. and Matteo R. D. (1998), Evidence on the Determinants of Canadian Provincial Government Health Expenditures: 1965-1991, Journal of Health Economics, 17, pp.211-228
  • McGuire, A., Parkin, D., Hughes, D., Gerard, K., (1993), Econometric analyses of national health expenditures: can positive economics help answer normative questions?, Health Economics, 2, 113– 126.
  • Milne, R. and Molana, H. (1991), On the effect of income and relative price on demand for health care: EC evidence, Applied Economics, 23, pp.1221-1226 100
There are 33 citations in total.

Details

Journal Section Articles
Authors

Savaş Çevik This is me

M. Okan Taşar This is me

Publication Date December 1, 2013
Published in Issue Year 2013 Volume: 2 Issue: 4

Cite

APA Çevik, S., & Taşar, M. O. (2013). Public Spending On Health Care and Health Outcomes: Cross-Country Comparison. Journal of Business Economics and Finance, 2(4), 82-100.

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